INSTRUCTIONS TO FILL FORM 1
FIELD WISE INSTRUCTIONS TO FILL PART A TO F
Field Name
PART A - GENERAL INFORMATION
Acknowledgement Number of Original
Form 1
PAN / TAN
Aadhaar No.
First Name of appellant
Middle Name of appellant
Last Name of appellant
Mobile No.
Email Address
Whether the applicant is appellant in
terms of section 2 of the DTVSV and is
not ineligible to apply in terms of
section 9 of DTVSV?
Option exercised by Appellant
Whether opting to pay tax on reduction
of losses or depreciation or MAT credit
If Yes go to relevant schedule under A;
If No fill up schedule D
Instruction
This field will auto populate as
acknowledgment number of Original
Form 1 filed for that AY/FY in PAN/TAN
login respectively.
PAN/ TAN will be auto populated from
Login profile and is non editable.
For PAN users, Schedule A or/and
Schedule C are applicable.
For TAN users, Schedule B or/and
Schedule C are applicable.
This field is applicable only for
individuals and in PAN login. If
"Aadhaar" is updated in profile and
linked with PAN, then the same will be
auto populated. Else, Assessee may
enter the Aadhaar.
For TAN users, this field is not
applicable.
This shall be auto populated and non-
editable.
This shall be auto populated and non-
editable.
This shall be auto populated and non-
editable.
Mobile number will be prefilled as per
profile and non editable. In case
appellant wants to update, please
update the same in "My profile"
Email will be prefilled as per profile and
non editable. In case appellant wants to
update, please update the same in "My
profile"
Please select the option from below
dropdowns:
Yes
No
If selects "No", appellant is not allowed
to file Form as he is not eligible under
this scheme.
Please select the option from below
dropdowns:
Yes
No
If appellant selects "No", appellant has
to fill schedule D along with applicable
 schedules.
This question is not applicable in case of
TAN login.

Note : In case of appellant is having more than one order for the selected assessment
year, please provide the “order details, appeal filed for that order and with whom appeal
is pending and tax arrears for such order” separately by clicking “Add Row” given in Part
B.
Note : In case of appellant is having, more than one ‘nature of tax arrears’, for the
selected AY/FY, then please provide the details of each tax arrear separately by clicking
“Add Row”.
PART B – INFORMATION RELATING TO
DISPUTE
Nature of tax arrear Please select nature of tax arrear from
below dropdowns:
Disputed Tax
Disputed Interest
Disputed Penalty
Disputed Fee
Note :
If a single order consists of “Disputed
Tax, Interest on such Disputed Tax,
penalty on such disputed tax, then
appellant has to choose “Disputed tax”.
If an order, consists of only “Disputed
Penalty”, then appellant has to choose
“Disputed Penalty”.
If an order, consists of only “Disputed
Interest”, then appellant has to choose
“Disputed Interest”.
If an order, consists of only “Disputed
fee”, then appellant has to choose
“Disputed fee”.
Assessment Year/Financial Year This field shall be auto populated from
the “Assessment Year” / “Financial Year”
selected before proceeding to form.
Section under which order passed (there Please select the section under which
could be multiple sections for same order passed from the provided
assessment year) dropdowns.
Read with section Please select the ‘read with section’
under which order passed from the
provided dropdowns.
Income-tax authority / Appellate Forum Please select the option from below
who passed the order (there could be dropdowns :
multiple orders for same assessment Assessing Officer
year) Addl CIT/Addl DIT/JCIT/JDIT
PCIT/PDIT/CIT/DIT
CIT(A)
DRP
AAR
ITAT
 High Court
Date on which order passed (there could Please enter date of order passed
be multiple dates for same assessment against which appeal is being filed. Date
year) cannot be after 31/01/2020
Whether Search case? Please select the option from below
dropdowns:
Yes
No
Whether search case with disputed tax Please select the option from below
less than or equal to Rs. 5 crores in the dropdowns:
assessment year? (information flag Yes
relevant for rate at which amount No
payable is to be computed)  In case, “Disputed Tax” is related to
“Search case” with disputed tax =<
Rs. 5 Crores , please select “Yes”
 In case “Disputed Tax” is related to
“Search case” with disputed tax >
Rs. 5 Crores, Please select “No”
If selects "No", appellant is not allowed
to file Form 1 as he is not eligible under
this scheme.
Details of pending Header
Whether Please select the option from below
Appeal/objection/revision/Writ / dropdowns:
SLP/Arbitration/Conciliation/Mediation? Arbitration/Conciliation/Mediation
Appeal
Objection
Revision
Writ
SLP
Appellate Forum If "Appeal" is selected above, then select
one of below options :
CIT(A)
ITAT
High Court
Supreme Court

If "Objection" is selected above, then

"DRP" will be auto-populated and non-
editable.

If "Revision" is selected above, then

"CIT/PCIT" will be auto-populated and
non-editable.

If "Writ" is selected above, then select

one of below options :
High Court
Supreme Court

Whether already filed?
If No, date on which time-limit for filing
expires in case of Assessee
If yes, filed by
Date of filing - Filed by Assessee
Date of filing -Filed by Department
Reference number -Filed by Assessee
Reference number -Filed by Department
Whether DRP case?
If yes, whether directions passed by
DRP on or before 31.1.2020?
If yes, whether order passed by AO? (If
yes, not eligible)
Whether revision application case?
If "SLP" is selected above, then
"Supreme Court" will be auto-populated
and non-editable.
If “Arbitration/Conciliation/Mediation" is
selected above then Appellate Forum is
not applicable.
Please select the option from below
dropdowns:
Yes
No
Please enter date on which time-limit for
filing appeal expires in case of Assessee.
Please select from below dropdowns :
Assessee
Department
Both
Please enter the date of filing of appeal
filed by Assessee. However if appeal
filed by “both” then enter the date of
filing of appeal filed by the Assessee.
Please enter the date of filing of appeal
filed by department. However if appeal
filed by “both” then enter the date of
filing of appeal filed by the department.
Please enter the reference number of
appeal filed by Assessee. However if
appeal filed by “both” then enter the
reference number of appeal filed by the
Assessee.
Please enter the reference number of
appeal filed by department. However if
appeal filed by “both” then enter the
reference number of appeal filed by the
department.
This field shall be auto populated based
on dropdown selected at field "Income-
tax authority / Appellate Forum who
passed the order"
Please select the option from below
dropdowns:
Yes
No
Please select the option from below
dropdowns:
Yes
No
If "Yes" is selected, appellant will not be
allowed to proceed further as it is not
covered under the scheme
Please select the option from below
dropdowns:
 Yes
No
If yes, date of filing If above field is selected as “Yes” then
please enter the date of filing of revision
application.
If declaration is with respect to appeal, Please select the option from below
writ, SLP, arbitration, conciliation or dropdowns:
mediation for disputed tax including Yes
disputed TDS/TCS appeal , is there No
pending appeal, writ or SLP for interest If “Yes” is selected then appellant is to
or penalty imposed in relation to such provide the connected penalty and
disputed tax interest details in below field.
For Penalty Header
Appeal reference number Please enter the "Appeal Reference
Number".
Appellate authority where appeal is Please select the option from below
pending dropdowns :

PCIT/CIT
CIT(A)
DRP
ITAT
High Court
Supreme Court
Amount of Penalty Please enter the disputed Penalty
connected to disputed tax.
For Interest Header
Appeal reference number Please enter the "Appeal Reference
Number".
Appellate authority where appeal is Please select the option from below
pending dropdowns :
PCIT/CIT
CIT(A)
DRP
ITAT
High Court
Supreme Court
Amount of Interest Please enter the disputed interest
connected to disputed tax.
PART C – INFORMATION RELATED TO
TAX ARREAR
Tax arrears (as per schedule) This field is auto populated as sum of
tax arrear from all the schedules.
PART D – INFORMATION RELATED TO
AMOUNT PAYABLE
Total amount payable under DTVSV if This field is auto populated as sum of 'X'
paid on or before 31.3.2020 from all the schedules and non-editable.
Total amount payable under DTVSV if This field is auto populated as sum of 'Y'
paid after 31.03.2020 from all the schedules and non-editable.
PART E – INFORMATION RELATED TO
PAYMENTS AGAINST TAX ARREAR
 Whether the declarant has made any
payment against tax arrears before
filing of declaration?
BSR Code
Date of Payment
Serial Number of Challan
Amount
Add Row
Total payments against tax arrears
Refund Adjusted against tax arrears
Part F -Net amount payable/refundable
by the appellant: Part D (i) or D (ii), as
the case may be, less [Part E (iii)+E(iv)]
INSTRUCTIONS FOR FILLING SCHEDULE A
Sl.no. Field Name
in
Form
A. Schedules applicable where
declaration relates to disputed
tax (Applicable in case of PAN)
Schedule I. To be filled in case
appeal of Assessee is pending
before CIT(A) as on
31.01.2020 or the time for
filing appeal by the Assessee
before CIT(A) has not expired
as on 31.01.2020
Appeal reference number
Total income as per draft order
A. against which objections filed
or to be filed
Please select the option from below
dropdowns:
Yes
No
If “Yes” is selected in above field, Please
enter the seven digit BSR code of Bank
at which tax was deposited.
Please enter date of payment in
DD/MM/YYYY format.
Please enter serial number of challan.
Please enter amount paid.
Please add rows to enter details of more
than one challan.
This field is auto populated from total of
amount paid in above table.
Please enter the amount which was
adjusted against the tax arrears.
This field is auto populated as D(i) or
D(ii), as the case may be, less [Part
E(iii)+E(iv)] and non-editable.
Instruction
Incase of appeals related 'Disputed Tax', this
schedule need to be filled. This will be applicable for
PAN users. Please ensure to fill the details regarding
each appeal in different tables by using add row.
Please fill the below details incase the appeal is
related to "Disputed tax" and pending with "CIT(A)"
filed by "Assessee"
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"CIT(A)" filed by "Assessee". Please ensure that the
same should match with the "Appeal Reference
Number" entered in Part B.
Please enter the total income as per issued order
against which appeal filed or to be filed
B(i) Disputed income# out of A -
relating to issues, which have
been decided in favor of
Assessee in his case for any
assessment year by ITAT (and
such order has not been
subsequently reversed by the
High Court) or High Court (and
such order has not been
subsequently reversed by the
Supreme Court)
B(ii) Disputed income# out of A -
relating to issues other than
B(i)
C Disputed tax* in relation to
disputed income at B(i)
D Disputed tax in relation to
disputed income at B(ii)
E Tax effect of enhancement**,
if any, by CIT(A)
F Total disputed tax (C+D+E)
G Interest charged on disputed
tax
H Penalty levied on disputed tax
I Tax arrears (F+G+H)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case 0.5*C + D +
E enter tax payable under DTVSV on or before
If search case 0.625*C
+1.25*D + 1.25*E
Y Amount payable under DTVSV
after 31.03.2020
If non search case 0.55*C +
1.1*D + 1.1*E
If non search case 0.675*C +
1.35*D + 1.35*E
Please enter the disputed income which have been
decided in favor of Assessee in his case for any
financial year by ITAT (and such order has not been
subsequently reversed by the High Court) or High
Court (and such order has not been subsequently
reversed by the Supreme Court)
Please enter the disputed tax amount related to
other than amount mentioned in B(i).
Please enter the disputed tax on disputed income at
B(i).
Please enter the disputed tax on disputed income at
B(ii).
Please enter the tax effect of enhancement made by
the CIT(A)
This field shall be auto populated as C+D+E and
non-editable.
Please enter the Interest charged on disputed tax
Please enter the Penalty levied on disputed tax
This field shall be auto populated as F+G+H and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
31.03.2020 and also ensure that this amount should
not be less than 0.5*C + D + E
If dispute is related to search case then please enter
tax payable under DTVSV on or before 31.03.2020
and also ensure that this amount should not be less
than 0.625*C +1.25* D +1.25*E
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.55*C +1.1*D + 1.1*E
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.675*C +1.35*D + 1.35*E
 Schedule II- To be filled in
case Assessee has filed
objections with DRP against
draft assessment order and
DRP has not issued any
directions as on 31.01.2020 or
the time-limit to file objections
against draft order passed by
AO has not expired as on
31.01.2020
Appeal reference number
Total income as per draft order
A. against which objections filed
or to be filed
B(i) Disputed income out of A -
relating to issues, which have
been decided in favor of
Assessee in his case for any
assessment year by ITAT (and
such order has not been
subsequently reversed by the
High Court) or High Court (and
such order has not been
subsequently reversed by the
Supreme Court)
B(ii) Disputed income out of A -
relating to issues other than
B(i)
C Disputed tax in relation to
disputed income at B(i)
D Disputed tax in relation to
disputed income at B(ii)
E Total disputed tax (C+D)
F Interest charged on disputed
tax
G Penalty levied on disputed tax
H Tax arrears (E+F+G)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case 0.5*C + D
If search case 0.625*C
+1.25*D
Please fill the below details incase the appeal is
related to "Disputed tax" and pending with "DRP"
against draft assessment order filed by "Assessee"
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"DRP" filed by "Assessee". Please ensure that the
same should match with the "Appeal Reference
Number" entered in Part B.
Please enter the total income as per draft order
against which objection filed or to be filed
Please enter the disputed income which have been
decided in favor of Assessee in his case for any
financial year by ITAT (and such order has not been
subsequently reversed by the High Court) or High
Court (and such order has not been subsequently
reversed by the Supreme Court)
Please enter the disputed tax amount related to
other than amount mentioned in B(i).
Please enter the disputed tax on disputed income at
B(i).
Please enter the disputed tax on disputed income at
B(ii).
This field shall be auto populated as C+D and non-
editable.
Please enter the Interest charged on disputed tax
Please enter the Penalty levied on disputed tax
This field shall be auto populated as E+F+G and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.5*C + D
If dispute is related to search case then please enter
tax payable under DTVSV on or before 31.03.2020

Y Amount payable under DTVSV
after 31.03.2020
If non search case 0.55*C +
1.1*D
If search case 0.675*C
+1.35*D
Schedule III. To be filled in
case DRP has issued directions
u/s 144C of the Act in
response to objections filed by
the Assessee and Assessing
Officer has not passed the
order as per such directions
issued by DRP as on
31.01.2020
Appeal reference number
Total income as per directions
A.
of DRP
B(i) Disputed income out of A -
relating to issues, which have
been decided in favor of
Assessee in his case for any
assessment year by ITAT (and
such order has not been
subsequently reversed by the
High Court) or High Court (and
such order has not been
subsequently reversed by the
Supreme Court)
B(ii) Disputed income out of A -
relating to issues other than
B(i)
C Disputed tax in relation to
disputed income at B(i)
D Disputed tax in relation to
disputed income at B(ii)
E Total disputed tax (C+D)
F Interest charged on disputed
tax
G Penalty levied on disputed tax
and also ensure that this amount should not be less
than 0.625*C +1.25* D
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.55*C +1.1*D
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.55*C +1.1*D
Please fill the below details in case the appeal is
related to direction issued by DRP and Assessing
Officer has not passed the order related to the
disputed tax.
Please enter the "Appeal Reference Number" for the
appeal related to direction issued by DRP and
Assessing Officer has not passed the order related to
the disputed tax. Please ensure that the same
should match with the "Appeal Reference Number"
entered in Part B.
Please enter the total income as per direction issued
by DRP against which objection filed or to be filed
Please enter the disputed income which have been
decided in favor of Assessee in his case for any
financial year by ITAT (and such order has not been
subsequently reversed by the High Court) or High
Court (and such order has not been subsequently
reversed by the Supreme Court)
Please enter the disputed tax amount related to
other than amount mentioned in B(i).
Please enter the disputed tax on disputed income at
B(i).
Please enter the disputed tax on disputed income at
B(ii).
This field shall be auto populated as C+D and non-
editable.
Please enter the Interest charged on disputed tax
Please enter the Penalty levied on disputed tax
 H Tax arrears (E+F+G)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case 0.5*C + D
If search case 0.625*C
+1.25*D
Y Amount payable under DTVSV
after 31.03.2020
If non search case 0.55*C +
1.1*D
If search case 0.675*C
+1.35*D
Schedule IV. To be filled in
case appeal of Assessee is
pending before ITAT as on
31.01.2020 or the time for
filing appeal by the Assessee
before ITAT has not expired as
on 31.01.2020
Appeal reference number
Total income as per order
A. against which appeal filed or to
be filed
B(i) Disputed income out of A -
relating to issues, which have
been decided in favor of
Assessee in his case for any
assessment year by High Court
(and such order has not been
subsequently reversed by the
Supreme Court)
B(ii) Disputed income out of A -
relating to issues other than
B(i)
C Disputed tax in relation to
disputed income at B(i)
D Disputed tax in relation to
disputed income at B(ii)
This field shall be auto populated as E+F+G and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.5*C + D
If dispute is related to search case then please enter
tax payable under DTVSV on or before 31.03.2020
and also ensure that this amount should not be less
than 0.625*C +1.25* D
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.55*C +1.1*D
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.55*C +1.1*D
Please fill the below details in case the appeal is
related to "Disputed tax" and pending with "ITAT"
filed by "Assessee/Both"
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"ITAT" filed by "Assessee/Both". Please ensure that
the same should match with the "Appeal Reference
Number" entered in Part B.
Please enter the total income as per order against
which appeal filed or to be filed
Please enter the disputed income which have been
decided in favor of Assessee in his case for any
assessment year by High Court (and such order has
not been subsequently reversed by the Supreme
Court)
Please enter the disputed tax amount related to
other than amount mentioned in B(i).
Please enter the disputed tax on disputed income at
B(i).
Please enter the disputed tax on disputed income at
B(ii).
E Total disputed tax (C+D)
F Interest charged on disputed
tax
G Penalty levied on disputed tax
H Tax arrears (E+F+G)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case 0.5*C + D
If search case 0.625*C
+1.25*D
Y Amount payable under DTVSV
after 31.03.2020
If non search case 0.55*C +
1.1*D
If search case 0.675*C
+1.35*D
Schedule V. To be filled in case
appeal of Department is
pending before ITAT as on
31.01.2020 or the time to file
appeal by the department in
ITAT has not expired on
31.01.2020.
Appeal reference number
Total income as per order
A. against which appeal filed or to
be filed
B. Disputed income out of A
C Disputed tax in relation to
disputed income at B
D Interest charged on disputed
tax
E Penalty levied on disputed tax
F Tax arrears (C+D+E)
X Amount payable under DTVSV
on or before 31.03.2020
This field shall be auto populated as C+D and non-
editable.
Please enter the Interest charged on disputed tax
Please enter the Penalty levied on disputed tax
This field shall be auto populated as E+F+G and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.5*C + D
If dispute is related to search case then please enter
tax payable under DTVSV on or before 31.03.2020
and also ensure that this amount should not be less
than 0.625*C +1.25* D
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.55*C +1.1*D
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.675*C +1.35*D
Please fill the below details in case the appeal is
related to "Disputed tax" and pending with "ITAT"
filed by "Department/Both"
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"ITAT" filed by "Department/Both". Please ensure
that the same should match with the "Appeal
Reference Number" entered in Part B.
Please enter the total income as per order against
which appeal filed or to be filed
Please enter the Disputed income.
Please enter the disputed Tax.
Please enter the Interest charged on disputed tax
Please enter the Penalty levied on disputed tax
This field shall be auto populated as C+D+E and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
 If non search case 0.5*C
If search case 0.625*C
Y Amount payable under DTVSV
after 31.03.2020
If non search case 0.55*C
If search case 0.675*C
Schedule VI. To be filled in
case appeal or writ of Assessee
is pending before High Court as
on 31.01.2020 or the time for
filing appeal or writ by the
Assessee before High Court has
not expired as on 31.01.2020
Appeal reference number
Total income as per order
A. against which appeal or writ
filed or appeal to be filed
B. Disputed income out of A
C Disputed tax in relation to
disputed income at B
D Interest charged on disputed
tax
E Penalty levied on disputed tax
F Tax arrears (C+D+E)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case C
If search case 1.25*C
If dispute is not related to search case then please
enter tax payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.5*C
If dispute is related to search case then please enter
tax payable under DTVSV on or before 31.03.2020
and also ensure that this amount should not be less
than 0.625*C
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.55*C
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.675*C
Please fill the below details in case the appeal/writ is
related to "Disputed tax" and pending with "High
Court" filed by "Assessee/Both".
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"High court" filed by "Assessee/Both". Please ensure
that the same should match with the "Appeal
Reference Number" entered in Part B.
Please enter the total income as per order against
which appeal filed or to be filed
Please enter the Disputed income out of A
Please enter the disputed Tax.
Please enter the Interest charged on disputed tax
Please enter the Penalty levied on disputed tax
This field shall be auto populated as C+D+E and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than C
If dispute is related to search case then please enter
tax payable under DTVSV on or before 31.03.2020
and also ensure that this amount should not be less
than 1.25*C
Y Amount payable under DTVSV
after 31.03.2020
If non search case 1.1*C
If search case 1.35*C
Schedule VII. To be filled in
case appeal or writ of
Department is pending before
High Court as on 31.01.2020 or
the time to file appeal or writ
by the department in HC has
not expired on 31.01.2020.
Appeal reference number
Total income as per order
A. against which appeal or writ
filed or appeal to be filed
B. Disputed income out of A
C Disputed tax in relation to
disputed income at B
D Interest charged on disputed
tax
E Penalty levied on disputed tax
F Tax arrears (C+D+E)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case 0.5*C
If search case 0.625*C
Y Amount payable under DTVSV
after 31.03.2020
If non search case 0.55*C
If search case 0.675*C
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 1.1*C
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 1.35*C
Please fill the below details in case the appeal/writ is
related to "Disputed tax" and pending with "High
Court" filed by "Department/Both".
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"High court" filed by "Department/Both". Please
ensure that the same should match with the "Appeal
Reference Number" entered in Part B.
Please enter the total income as per order against
which appeal filed or to be filed
Please enter the Disputed income.
Please enter the disputed Tax in relation to disputed
income at B
Please enter the Interest charged on disputed tax
Please enter the Penalty levied on disputed tax
This field shall be auto populated as C+D+E and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.5*C
If dispute is related to search case then please enter
tax payable under DTVSV on or before 31.03.2020
and also ensure that this amount should not be less
than 0.625*C
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.55*C
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020

Schedule VIII. To be filled in
case appeal or writ or SLP of
Assessee is pending before
Supreme Court as on
31.01.2020 or the time for
filing appeal or writ or SLP by
the Assessee before Supreme
Court has not expired as on
31.01.2020
Appeal reference number
Total income as per order
against which appeal or writ or
A.
SLP filed or appeal or SLP to be
filed
B. Disputed income out of A
C Disputed tax in relation to
disputed income at B
D Interest charged on disputed
tax
E Penalty levied on disputed tax
F Tax arrears (C+D+E)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case C
If search case 1.25*C
Y Amount payable under DTVSV
after 31.03.2020
If non search case 1.1*C
If search case 1.35*C
and also ensure that this amount should not be less
than 0.675*C
Please fill the below details in case the appeal/writ is
related to "Disputed tax" and pending with
"Supreme Court" filed by "Assessee/Both".
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"Supreme Court" filed by "Assessee/Both". Please
ensure that the same should match with the "Appeal
Reference Number" entered in Part B.
Please enter the total income as per order against
which appeal/writ/SLP filed or to be filed
Please enter the Disputed income out of A
Please enter the disputed Tax in relation to disputed
income at B
Please enter the Interest charged on disputed tax
Please enter the Penalty levied on disputed tax
This field shall be auto populated as C+D+E and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than C
If dispute is related to search case then please enter
tax payable under DTVSV on or before 31.03.2020
and also ensure that this amount should not be less
than 1.25*C
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 1.1*C
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 1.35*C
 Schedule IX. To be filled in
case appeal or writ or SLP of
Department is pending before
Supreme Court as on
31.01.2020 or the time to file
appeal or writ or SLP by the
department in SC has not
expired on 31.01.2020.
Appeal reference number
Total income as per order
against which appeal or writ or
A.
SLP filed or appeal or SLP to be
filed
B. Disputed income out of A
C Disputed tax in relation to
disputed income at B
D Interest charged on disputed
tax
E Penalty levied on disputed tax
F Tax arrears (C+D+E)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case 0.5*C
If search case 0.625*C
Y Amount payable under DTVSV
after 31.03.2020
If non search case 0.55*C
If search case 0.675*C
Schedule X. To be filled in case
revision application of
Assessee u/s 264 is pending
before PCIT/CIT as on
31.01.2020
Please fill the below details in case the appeal/writ is
related to "Disputed tax" and pending with
"Supreme Court" filed by "Department/Both".
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"Supreme court" filed by "Department/Both". Please
ensure that the same should match with the "Appeal
Reference Number" entered in Part B.
Please enter the total income as per order against
which appeal/writ/SLP filed or to be filed
Please enter the Disputed income out of A
Please enter the disputed Tax in relation to disputed
income at B
Please enter the Interest charged on disputed tax
Please enter the Penalty levied on disputed tax
This field shall be auto populated as C+D+E and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.5*C
If dispute is related to search case then please enter
tax payable under DTVSV on or before 31.03.2020
and also ensure that this amount should not be less
than 0.625*C
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.55*C
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 0.675*C
Please fill the below details in case the revision is
related to "Disputed tax" and pending with
"PCIT/CIT" filed by "Assessee".

Appeal reference number
Total income as per order
A. against which revision
application filed
B Disputed income out of A
C Disputed tax in relation to
disputed income at B
D Interest charged on disputed
tax
E Penalty levied on disputed tax
Tax arrears (C+D+E)
F
Amount payable under DTVSV
X
on or before 31.03.2020
If non search case C
If search case 1.25*C
Amount payable under DTVSV
Y
after 31.03.2020
If non search case 1.1*C
If search case 1.35*C
Schedule XI. To be filled in
case arbitration or conciliation
or mediation of Assessee is
pending as on 31.01.2020
Appeal reference number
Total income as per order
A
against which arbitration or
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"PCIT/CIT" filed by "Assessee". Please ensure that
the same should match with the "Appeal Reference
Number" entered in Part B.
Please enter the total income as per issued order
against which appeal filed or to be filed
Please enter the disputed income out of A.
Please enter the disputed tax on disputed income at
B.
Please enter the Interest charged on disputed tax
Please enter the Penalty levied on disputed tax
This field shall be auto populated as C+D+E and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than C
If dispute is related to search case then please enter
tax payable under DTVSV on or before 31.03.2020
and also ensure that this amount should not be less
than 1.25*C
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 1.1*C
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 1.35*C
Please fill the below details in case the appeal is
related to “Disputed tax” pending before arbitration
or conciliation or mediation which is filed by
"Assessee".
Please enter the "Appeal Reference Number" for the
appeal is pending before arbitration or conciliation or
mediation which is filed by "Assessee". Please
ensure that the same should match with the "Appeal
Reference Number" entered in Part B.
Please enter the total income as per issued order
against which appeal filed or to be filed
 conciliation or mediation has
been filed
Disputed income out of A
B income as per order against which arbitration or
Disputed tax in relation to
C
disputed income at B
Interest charged on disputed
D
tax
Penalty levied on disputed tax
E
Tax arrears (C+D+E)
F
Amount payable under DTVSV
on or before 31.03.2020
If non search case C
If search case 1.25*C
Amount payable under DTVSV
after 31.03.2020
If non search case 1.1*C
If search case 1.35*C
FIELD WISE INSTRUCTIONS FOR FILLING ANNEXURE B
Note: If appellant is having more than one appeal pending with same combination for
selected FY, please click on add row and please fill the details accordingly.
Sl.no. Field
in
Form
B. Schedules applicable where
declaration relates to disputed
TDS/TCS (Applicable for TAN):
Please enter the disputed income out of Total
conciliation or mediation has been filed.
Please enter the disputed tax amount in relation to
disputed income at B.
Please enter the Interest charged on disputed tax
Please enter the Penalty levied on disputed tax
This field shall be auto populated as E+F+G and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than C
If dispute is related to search case then please enter
tax payable under DTVSV on or before 31.03.2020
and also ensure that this amount should not be less
than 1.25*C
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 1.1*C
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 1.35*C
Instructions
Incase of TDS/ TCS appeals, this schedule need to
be filled. Please ensure to fill the details regarding
each appeal in different tables by using add row.
 Schedule I. To be filled in case
appeal of Assessee is pending
before CIT(A) as on
31.01.2020 or the time for
filing appeal by the Assessee
before CIT(A) has not expired
as on 31.01.2020
Appeal reference number
Amount of TDS / TCS disputed
A. in appeal or in appeal to be
filed-
A(i) relating to issues, which have
been decided in favour of
Assessee in his case for any
financial year by ITAT (and
such order has not been
subsequently reversed by the
High Court) or High Court (and
such order has not been
subsequently reversed by the
Supreme Court)
A(ii) relating to issues other than
A(i)
B Tax effect of enhancement*, if
any, by CIT(A)
C Interest charged on disputed
TDS / TCS
D Penalty levied on disputed TDS
/ TCS
E TDS / TCS arrears (A+B+C+D)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case 0.5*A(i) +
A(ii) + B
If search case 0.625*A(i)
+1.25*A(ii) + 1.25*B
Y Amount payable under DTVSV
after 31.03.2020
If non search case 0.55*A(i) +
1.1*A(ii) + 1.1*B
Please fill the below details incase the appeal is
related to "Disputed tax" and pending with "CIT(A)"
filed by "Assessee"
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"CIT(A)" filed by "Assessee". Please ensure that the
same should match with the "Appeal Reference
Number" entered in Part B.
This field shall be auto populated as A(i)+A(ii) and
non-editable.
Please enter the amount of TDS/ TCS which have
been decided in favour of Assessee in his case for
any financial year by ITAT (and such order has not
been subsequently reversed by the High Court) or
High Court (and such order has not been
subsequently reversed by the Supreme Court)
Please enter the amount of TDS/ TCS related to
other than amount mentioned in A(i).
Please enter the TDS/ TCS effect of enhancement, if
any, by CIT(A)
Please enter the Interest charged on disputed TDS /
TCS
Please enter the Penalty levied on disputed TDS /
TCS
This field shall be auto populated as A+B+C+D and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.5*A(i) + A(ii) + B
If dispute is related to search case then please enter
TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.625*A(i) +1.25*A(ii) + 1.25*B.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount should
not be less than 0.55*A(i) + 1.1*A(ii) + 1.1*B
 If search case 0.675*A(i)
+1.35*A(ii) + 1.35*B
Add Row
Schedule II. To be filled in
case appeal of Assessee is
pending before ITAT as on
31.01.2020 or the time for
filing appeal by the Assessee
before ITAT has not expired as
on 31.01.2020
Appeal reference number
Amount of TDS / TCS disputed
A. in appeal or in appeal to be
filed-
A(i) relating to issues, which have
been decided in favour of
Assessee in his case for any
financial year by High Court
(and such order has not been
subsequently reversed by the
Supreme Court)
A(ii) relating to issues other than
A(i)
B Interest charged on disputed
TDS / TCS
C Penalty levied on disputed TDS
/ TCS
D TDS / TCS arrears (A+B+C)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case 0.5*A(i) +
A(ii)
If search case 0.625*A(i)
+1.25*A(ii)
Y Amount payable under DTVSV
after 31.03.2020
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount
should not be less than 0.675*A(i) +1.35*A(ii) +
1.35*B
If user is having more than one appeal pending with
same combination for that FY, please click on add
row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed tax" and pending with "ITAT"
filed by Assessee/Both
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"ITAT" filed by Assessee/Both. Please ensure that
the same should match with the "Appeal Reference
Number" entered in Part B.
This field shall be auto populated as A(i)+A(ii) and
non-editable.
Please enter the amount of TDS/ TCS which have
been decided in favour of Assessee in his case for
any financial year by High Court (and such order has
not been subsequently reversed by the Supreme
Court)
Please enter the amount of TDS/ TCS related to
other than amount mentioned in A(i).
Please enter the Interest charged on disputed TDS /
TCS
Please enter the Penalty levied on disputed TDS /
TCS
This field shall be auto populated as A+B+C and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.5*A(i) + A(ii)
If dispute is related to search case then please enter
TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.625*A(i) +1.25*A(ii)
This field shall be auto populated as sum of below
fields and non editable.
 If non search case 0.55*A(i) +
1.1*A(ii)
If search case 0.675*A(i)
+1.35*A(ii)
Add Row
Schedule III. To be filled in
case appeal of Department is
pending before ITAT as on
31.01.2020 or the time to file
appeal by the department in
ITAT has not expired on
31.01.2020.
Appeal reference number
Amount of TDS / TCS disputed
in appeal or in appeal to be
filed
TDS/TCS default for which
A
appeal is filed or to be filed
B Interest charged on disputed
TDS / TCS
C Penalty levied on disputed TDS
/ TCS
D TDS / TCS arrears (A+B+C)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case 0.5*A
If search case 0.625*A
Y Amount payable under DTVSV
after 31.03.2020
If non search case 0.55*A
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount should
not be less than 0.55*A(i) + 1.1*A(ii)
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount
should not be less than 0.675*A(i) +1.35*A(ii)
If user is having more than one appeal pending with
same combination for that FY, please click on add
row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed tax" and pending with "ITAT"
filed by "Department"
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"ITAT" filed by "Department". Please ensure that the
same should match with the "Appeal Reference
Number" entered in Part B.
Header
Please enter the amount of TDS/ TCS default for
which appeal is filed or to be filed
Please enter the Interest charged on disputed TDS /
TCS
Please enter the Penalty levied on disputed TDS /
TCS
This field shall be auto populated as A+B+C and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.5*A
If dispute is related to search case then please enter
TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.625*A
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount should
not be less than 0.55*A
 If search case 0.675*A
Add Row
Schedule IV. To be filled in
case appeal or writ of Assessee
is pending before High Court as
on 31.01.2020 or the time for
filing appeal or writ by the
Assessee before High Court has
not expired as on 31.01.2020
Appeal reference number
Amount of TDS / TCS disputed
in appeal or in appeal to be
filed
TDS/TCS default for which writ
A
or appeal is filed or to be filed
B Interest charged on disputed
TDS / TCS
C Penalty levied on disputed TDS
/ TCS
D TDS / TCS arrears (A+B+C)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case A
If search case 1.25*A
Y Amount payable under DTVSV
after 31.03.2020
If non search case 1.1*A
If search case 1.35*A
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount
should not be less than 0.675*A
If user is having more than one appeal pending with
same combination for that FY, please click on add
row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed tax" and pending with "High
court" filed by "Assessee"
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"High Court" filed by "Assessee". Please ensure that
the same should match with the "Appeal Reference
Number" entered in Part B.
Header
Please enter the amount of TDS/ TCS default for
which writ or appeal is filed or to be filed
Please enter the Interest charged on disputed TDS /
TCS
Please enter the Penalty levied on disputed TDS /
TCS
This field shall be auto populated as A+B+C and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than amount at field A
If dispute is related to search case then please enter
TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 1.25*value at field A
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount should
not be less than 1.1*A
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount
should not be less than 1.35*A
 Add Row
Schedule V. To be filled in case
appeal or writ of Department is
pending before High Court as
on 31.01.2020 or the time to
file appeal or writ by the
department in HC has not
expired on 31.01.2020.
Appeal reference number
Amount of TDS / TCS disputed
in appeal or in appeal to be
filed
TDS/TCS default for which writ
A which writ or appeal is filed or to be filed
or appeal is filed or to be filed
B Interest charged on disputed
TDS / TCS
C Penalty levied on disputed TDS
/ TCS
D TDS / TCS arrears (A+B+C)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case 0.5*A
If search case 0.625*A
Y Amount payable under DTVSV
after 31.03.2020
If non search case 0.55*A
If search case 0.675*A
If user is having more than one appeal pending with
same combination for that FY, please click on add
row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed tax" and pending with "High
Court" filed by "Department"
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"High Court" filed by "Department". Please ensure
that the same should match with the "Appeal
Reference Number" entered in Part B.
Header
Please enter the amount of TDS/ TCS default for
Please enter the Interest charged on disputed TDS /
TCS
Please enter the Penalty levied on disputed TDS /
TCS
This field shall be auto populated as A+B+C and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.5* amount at field A
If dispute is related to search case then please enter
TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.625*value at field A
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount should
not be less than 0.55*A
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount
should not be less than 0.675*A
 Add Row
Schedule VI. To be filled in
case appeal or writ or SLP of
Assessee is pending before
Supreme Court as on
31.01.2020 or the time for
filing appeal or writ or SLP by
the Assessee before Supreme
Court has not expired as on
31.01.2020
Appeal reference number
Amount of TDS / TCS disputed
in appeal or in appeal to be
filed
TDS/TCS default for which writ
A or appeal or SLP is filed or
appeal / SLP to be filed
B Interest charged on disputed
TDS / TCS
C Penalty levied on disputed TDS
/ TCS
D TDS / TCS arrears (A+B+C)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case A
If search case 1.25*A
Y Amount payable under DTVSV
after 31.03.2020
If non search case 1.1*A
If search case 1.35*A
If user is having more than one appeal pending with
same combination for that FY, please click on add
row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed tax" and pending with
"Supreme Court" filed by Assessee / Both
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
Supreme Court" filed by "Assessee" / Both. Please
ensure that the same should match with the "Appeal
Reference Number" entered in Part B.
Header
Please enter the amount of TDS/ TCS default for
which writ or appeal is filed or to be filed
Please enter the Interest charged on disputed TDS /
TCS
Please enter the Penalty levied on disputed TDS /
TCS
This field shall be auto populated as A+B+C and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than amount at field A
If dispute is related to search case then please enter
TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 1.25*value at field A
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount should
not be less than 1.1*A
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount
should not be less than 1.35*A
 Add Row
Schedule VII. To be filled in
case appeal or writ or SLP of
Department is pending before
Supreme Court as on
31.01.2020 or the time to file
appeal or writ or SLP by the
department in SC has not
expired on 31.01.2020.
Appeal reference number
Amount of TDS / TCS disputed
in appeal or in appeal to be
filed
TDS/TCS default for which writ
A or appeal or SLP is filed or
appeal / SLP to be filed
B Interest charged on disputed
TDS / TCS
C Penalty levied on disputed TDS
/ TCS
D TDS / TCS arrears (A+B+C)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case 0.5*A
If search case 0.625*A
Y Amount payable under DTVSV
after 31.03.2020
If non search case 0.55*A
If search case 0.675*A
If user is having more than one appeal pending with
same combination for that FY, please click on add
row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed tax" and pending with Supreme
Court" filed by "Department" / Both
Please enter the "Appeal Reference Number" for the
appeal related to "Disputed tax" and pending with
"Supreme Court" filed by "Department" / Both.
Please ensure that the same should match with the
"Appeal Reference Number" entered in Part B.
Header
Please enter the amount of TDS/ TCS default for
which writ or appeal is filed or to be filed
Please enter the Interest charged on disputed TDS /
TCS
Please enter the Penalty levied on disputed TDS /
TCS
This field shall be auto populated as A+B+C and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.5* amount at field A
If dispute is related to search case then please enter
TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 0.625*value at field A
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount should
not be less than 0.55*A
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount
should not be less than 0.675*A
 Add Row
Schedule VIII. To be filled in
case revision application of
Assessee u/s 264 is pending
before PCIT/CIT as on
31.01.2020
Appeal reference number
Amount of TDS / TCS disputed
in revision application filed
TDS/TCS default for which
A
revision application filed
B Interest charged on disputed
TDS / TCS
C Penalty levied on disputed TDS
/ TCS
D TDS / TCS arrears (A+B+C)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case A
If search case 1.25*A
Y Amount payable under DTVSV
after 31.03.2020
If non search case 1.1*A
If search case 1.35*A
Add Row
If user is having more than one appeal pending with
same combination for that FY, please click on add
row and enter the details properly.
Please fill the below details incase 'revision'
application of Assessee u/s 264 is pending before
'PCIT/CIT'
Please enter the "Appeal Reference Number" and
please ensure that the same should match with the
"Appeal Reference Number" entered in Part B.
Header
Please enter the TDS/TCS default for which revision
application filed.
Please enter the Interest charged on disputed TDS /
TCS
Please enter the Penalty levied on disputed TDS /
TCS
This field shall be auto populated as A+B+C and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than A
If dispute is related to search case then please enter
TDS / TCS payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than 1.25*A
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount should
not be less than 1.1*A
If dispute is not related to search case then please
enter TDS / TCS payable under DTVSV after
31.03.2020 and also ensure that this amount
should not be less than 1.35*A
If user is having more than one appeal pending with
same combination for that FY, please click on add
row and enter the details properly.
 Schedule IX. To be filled in
case arbitration or conciliation
or mediation of Assessee is
pending as on 31.01.2020
Appeal reference number
Amount of TDS / TCS disputed
in appeal or in appeal to be
filed
A TDS/TCS default for which
arbitration or conciliation or
mediation has been filed
B Interest charged on disputed
TDS / TCS
C Penalty levied on disputed TDS
/ TCS
D TDS / TCS arrears (A+B+C)
X Amount payable under DTVSV
on or before 31.03.2020
If non search case C
If search case 1.25*C
Y Amount payable under DTVSV
after 31.03.2020
If non search case 1.1*C
If search case 1.35*C
Add Row
Please fill the below details in case the appeal is
related to “Disputed tax” pending before arbitration
or conciliation or mediation which is filed by
"Assessee".
Please enter the "Appeal Reference Number" for the
appeal is pending before arbitration or conciliation or
mediation which is filed by "Assessee". Please
ensure that the same should match with the "Appeal
Reference Number" entered in Part B.
Header
Please enter the TDS/TCS default for which
arbitration or conciliation or mediation has been filed
Please enter the Interest charged on disputed TDS /
TCS
Please enter the Penalty levied on disputed TDS /
TCS
This field shall be auto populated as A+B+C and
non-editable.
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV on or before
31.03.2020 and also ensure that this amount should
not be less than C
If dispute is related to search case then please enter
tax payable under DTVSV on or before 31.03.2020
and also ensure that this amount should not be less
than 1.25*C
This field shall be auto populated as sum of below
fields and non editable.
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 1.1*C
If dispute is not related to search case then please
enter tax payable under DTVSV after 31.03.2020
and also ensure that this amount should not be less
than 1.35*C
If user is having more than one appeal pending with
same combination for that FY, please click on add
row and enter the details properly.
 FIELD WISE INSTRUCTIONS FOR FILLING ANNEXURE C
Note : If appellant is having more than one appeal pending with same combination for that
AY, please click on add row and enter the details accordingly.
Sl.no. Field
in
Form
C. Schedule applicable where
declaration relates to disputed
penalty, interest or fee only
(Applicable for PAN & TAN)
Schedule I. To be filled in case
appeal of Assessee is pending
before CIT(A) as on
31.01.2020 or the time for
filing appeal before CIT(A) has
not expired as on 31.01.2020
Appeal reference number
A Total amount of penalty /
interest / fees per order
against which appeal filed or to
be filed
B Disputed amount of penalty /
interest / fee out of A
B(i) relating to issues, which have
been decided in favour of
Assessee in his case for any
assessment year by ITAT (and
such order has not been
subsequently reversed by the
High Court) or High Court (and
such order has not been
subsequently reversed by the
Supreme Court)
B(ii) relating to issues other than
B(i)
Instructions
Incase of PAN / TAN appeal is related to "Disputed
Penalty" or "Disputed Interest" or "Disputed Fee",
this schedule need to be filled. Please ensure to fill
the details regarding each appeal in different tables
by using add row.
Please fill the below details incase the appeal is
related to "Disputed Penalty" or "Disputed Interest"
or "Disputed Fee" and pending with "CIT(A)" filed by
"Assessee".
If appeal is pending for all "Disputed Penalty",
"Disputed Interest" & "Disputed Fee", then click on
"Add row" and enter details separately against each
appeal reference number.
Please enter the "Appeal Reference Number" for the
appeal pending with "CIT(A)" filed by "Assessee"
with respect to "Disputed Penalty" or "Disputed
Interest" or "Disputed Fee".
Please ensure that the same should match with the
"Appeal Reference Number" entered in Part B for the
same combination.
Please enter the total amount of penalty / interest /
fees as per order against which appeal filed or to be
filed
This field shall be auto populated as B(i)+B(ii) and
non-editable.
Please enter the amount of disputed penalty /
interest / fee which have been decided in favour of
Assessee in his case for any financial year by ITAT
(and such order has not been subsequently reversed
by the High Court) or High Court (and such order
has not been subsequently reversed by the Supreme
Court)
Please enter the amount of disputed penalty /
interest / fee related to other than amount
mentioned in B(i).
 C Penalty or interest or fee
proposed to be enhanced by
CIT(A)
D Tax arrears (B(i)+B(ii)+C)
X Amount payable under DTVSV
on or before 31.03.2020 =
0.125*B(i) + 0.25B(ii) +
0.25*C
Y Amount payable under DTVSV
after 31.03.2020 = 0.15*B(i) +
0.3*B(ii) + 0.3*C
Add Row
Schedule II. To be filled in case
appeal of Assessee is pending
before ITAT as on 31.01.2020
or the time for filing appeal by
the Assessee before ITAT has
not expired as on 31.01.2020
Appeal reference number
A Total amount of penalty /
interest / fee as per order
against which appeal has been
filed or to be filed
B Disputed penalty / interest /
fee due to appeal by Assessee -
B(i) relating to issues, which have
been decided in favour of
Assessee in his case for any
assessment year by High Court
(and such order has not been
subsequently reversed by the
Supreme Court)
B(ii) relating to issues other than
B(i)
C Tax arrears (B(i) + B(ii))
X Amount payable under DTVSV
on or before 31.03.2020 =
0.125*B(i) + 0.25*B(ii)
Please enter the amount of Penalty or interest or fee
proposed to be enhanced by CIT(A)
This field shall be auto populated as B(i)+B(ii)+C
and non-editable.
This field shall be auto populated as 0.125*B(i) +
0.25B(ii) + 0.25*C and non-editable.
This field shall be auto populated as 0.15*B(i) +
0.3*B(ii) + 0.3*C and non-editable.
If user is having more than one appeal pending with
same combination for that AY/FY, please click on
add row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed Penalty" or "Disputed Interest"
or "Disputed Fee" and pending with "ITAT" filed by
"Assessee" or "both".
If appeal is pending for all "Disputed Penalty",
"Disputed Interest" & "Disputed Fee", then click on
"Add row" and enter details separately against each
appeal reference number.
Please enter the "Appeal Reference Number" for the
appeal pending with "ITAT" filed by "Assessee/ Both"
with respect to "Disputed Penalty" or "Disputed
Interest" or "Disputed Fee".
Please ensure that the same should match with the
"Appeal Reference Number" entered in Part B for the
same combination.
Please enter the total amount of penalty / interest /
fees as per order against which appeal filed or to be
filed
This field shall be auto populated as B(i)+B(ii) and
non-editable.
Please enter the amount of disputed penalty /
interest / fee which have been decided in favour of
Assessee in his case for any assessment year by
High Court (and such order has not been
subsequently reversed by the Supreme Court)
Please enter the amount of disputed penalty /
interest / fee related to other than amount
mentioned in B(i).
This field shall be auto populated as B(i)+B(ii) and
non-editable.
This field shall be auto populated as 0.125*B(i) +
0.25*B(ii) and non-editable.
Y Amount payable under DTVSV
after 31.03.2020 = 0.15*B(i) +
0.3*B(ii)
Add Row
Schedule III. To be filled in
case appeal of Department is
pending before ITAT as on
31.01.2020 or the time for
filing appeal by the department
before ITAT has not expired as
on 31.01.2020
Appeal reference number
A Total amount of
penalty/interest/fee as per
order against which appeal
filed or to be filed
B Disputed penalty / interest /
fee relating to issues on which
appeal has been filed or to be
filed
C Tax arrears (B)
X Amount payable under DTVSV
on or before 31.03.2020 =
0.125*B
Y Amount payable under DTVSV
after 31.03.2020 = 0.15*B
Add Row
Schedule IV. To be filled in
case appeal or writ of Assessee
is pending before High Court as
on 31.01.2020 or time for filing
appeal or writ by the Assessee
before High Court has not
expired as on 31.01.2020
This field shall be auto populated as 0.15*B(i) +
0.3*B(ii) and non-editable.
If user is having more than one appeal pending with
same combination for that AY/FY, please click on
add row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed Penalty" or "Disputed Interest"
or "Disputed Fee" and pending with "ITAT" filed by
"Department" or "both".
If appeal is pending for all "Disputed Penalty",
"Disputed Interest" & "Disputed Fee", then click on
"Add row" and enter details separately against each
appeal reference number.
Please enter the "Appeal Reference Number" for the
appeal pending with "ITAT" filed by Department /
Both" with respect to "Disputed Penalty" or
"Disputed Interest" or "Disputed Fee".
Please ensure that the same should match with the
"Appeal Reference Number" entered in Part B for the
same combination.
Please enter the total amount of penalty / interest /
fees as per order against which appeal filed or to be
filed
Please enter 'Disputed penalty / interest / fee'
relating to issues on which appeal has been filed or
to be filed
This field shall be auto populated as B and non-
editable.
This field shall be auto populated as 0.125*B and
non-editable.
This field shall be auto populated as 0.15*B and
non-editable.
If user is having more than one appeal pending with
same combination for that AY/FY, please click on
add row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed Penalty" or "Disputed Interest"
or "Disputed Fee" and pending with High court filed
by "Assessee" or "both".
If appeal is pending for all "Disputed Penalty",
"Disputed Interest" & "Disputed Fee", then click on
"Add row" and enter details separately against each
appeal reference number.

Appeal reference number
A Total amount of penalty /
interest / fee as per order
against which appeal or writ
has been filed or to be filed
B Disputed penalty / interest /
fee due to appeal by Assessee
C Tax arrears (B)
X Amount payable under DTVSV
on or before 31.03.2020 =
0.25*B
Amount payable under DTVSV
Y
after 31.03.2020 = 0.3*B
Add Row
Schedule V. To be filled in case
appeal or writ of Department is
pending before High Court as
on 31.01.2020 or the time for
filing appeal or writ by the
department before High Court
has not expired as on
31.01.2020
Appeal reference number
A Total amount of penalty /
interest / fee as per order
against which appeal or writ
has been filed or to be filed
B Disputed penalty / interest /
fee on issues raised in appeal
C Tax arrears (B)
X Amount payable under DTVSV
on or before 31.03.2020 =
0.125*B
Please enter the "Appeal Reference Number" for the
appeal pending with High Court and filed by
Assessee / Both" with respect to "Disputed Penalty"
or "Disputed Interest" or "Disputed Fee".
Please ensure that the same should match with the
"Appeal Reference Number" entered in Part B for the
same combination.
Please enter the total amount of penalty / interest /
fees as per order against which appeal or writ has
been filed or to be filed
Please enter 'Disputed penalty / interest / fee due
to appeal by Assessee
This field shall be auto populated as B and non-
editable.
This field shall be auto populated as 0.25*B and
non-editable.
This field shall be auto populated as 0.3*B and non-
editable.
If user is having more than one appeal pending with
same combination for that AY/FY, please click on
add row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed Penalty" or "Disputed Interest"
or "Disputed Fee" and pending with High court filed
by Department or "both".
If appeal is pending for all "Disputed Penalty",
"Disputed Interest" & "Disputed Fee", then click on
"Add row" and enter details separately against each
appeal reference number.
Please enter the "Appeal Reference Number" for the
appeal pending with High Court and filed by
Department / Both" with respect to "Disputed
Penalty" or "Disputed Interest" or "Disputed Fee".
Please ensure that the same should match with the
"Appeal Reference Number" entered in Part B for the
same combination.
Please enter the total amount of penalty / interest /
fees as per order against which appeal or writ has
been filed or to be filed
Please enter 'Disputed penalty / interest / fee due
to appeal by Assessee
This field shall be auto populated as B and non-
editable.
This field shall be auto populated as 0.125*B and
non-editable.
 Amount payable under DTVSV
Y
after 31.03.2020 = 0.15*B
Add Row
Schedule VI. To be filled in
case appeal or writ or SLP of
Assessee is pending before
Supreme Court as on
31.01.2020 or the time for
filing appeal or writ or SLP by
the Assessee before Supreme
Court has not expired as on
31.01.2020
Appeal reference number
A Total amount of penalty /
interest / fee as per order
against which appeal or writ or
SLP has been filed or to be filed
B Disputed penalty / interest /
fee due to appeal by Assessee
C Tax arrears (B)
X Amount payable under DTVSV
on or before 31.03.2020 =
0.25*B
Amount payable under DTVSV
Y
after 31.03.2020 = 0.3*B
Add Row
Schedule VII. To be filled in
case appeal or writ or SLP of
Department is pending before
Supreme Court as on
31.01.2020 or time for filing
appeal or writ or SLP by the
department before Supreme
Court has not expired as on
31.01.2020
This field shall be auto populated as 0.15*B and
non-editable.
If user is having more than one appeal pending with
same combination for that AY/FY, please click on
add row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed Penalty" or "Disputed Interest"
or "Disputed Fee" and pending with Supreme court
filed by "Assessee" or "both".
If appeal is pending for all "Disputed Penalty",
"Disputed Interest" & "Disputed Fee", then click on
"Add row" and enter details separately against each
appeal reference number.
Please enter the "Appeal Reference Number" for the
appeal pending with Supreme Court and filed by
Assessee / Both" with respect to "Disputed Penalty"
or "Disputed Interest" or "Disputed Fee".
Please ensure that the same should match with the
"Appeal Reference Number" entered in Part B for the
same combination.
Please enter Total amount of penalty / interest / fee
as per order against which appeal or writ or SLP has
been filed or to be filed
Please enter Disputed penalty / interest / fee due to
appeal by Assessee
This field shall be auto populated as B and non-
editable.
This field shall be auto populated as 0.25*B and
non-editable.
This field shall be auto populated as 0.3*B and non-
editable.
If user is having more than one appeal pending with
same combination for that AY/FY, please click on
add row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed Penalty" or "Disputed Interest"
or "Disputed Fee" and pending with Supreme court
filed by Department or "both".
If appeal is pending for all "Disputed Penalty",
"Disputed Interest" & "Disputed Fee", then click on
"Add row" and enter details separately against each
appeal reference number.

Appeal reference number
A Total amount of penalty /
interest / fee as per order
against which appeal or writ or
SLP has been filed or to be filed
B Disputed penalty / interest /
fee on issues raised in appeal
C Tax arrears (B)
X Amount payable under DTVSV
on or before 31.03.2020 =
0.125*B
Amount payable under DTVSV
Y
after 31.03.2020 = 0.15*B
Add Row
Schedule VIII. To be filled in
case revision application of
assessee u/s 264 is pending
before PCIT/CIT as on
31.01.2020
Appeal reference number
Total amount of penalty /
interest / fee as per order
A
against which revision
application filed
Disputed penalty / interest /
B fee on issues raised in revision
application
Tax arrears (B)
C editable.
Amount payable under DTVSV
X on or before 31.03.2020
(0.25*B)
Please enter the "Appeal Reference Number" for the
appeal pending with Supreme Court and filed by
Department / Both" with respect to "Disputed
Penalty" or "Disputed Interest" or "Disputed Fee".
Please ensure that the same should match with the
"Appeal Reference Number" entered in Part B for the
same combination.
Please enter Total amount of penalty / interest / fee
as per order against which appeal or writ or SLP has
been filed or to be filed
Please enter Disputed penalty / interest / fee on
issues raised in appeal
This field shall be auto populated as B and non-
editable.
This field shall be auto populated as 0.125*B and
Non-editable.
This field shall be auto populated as 0.15*B and
Non-editable.
If appellant is having more than one appeal pending
with same combination for that AY/FY, please click
on add row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed Penalty" or "Disputed Interest"
or "Disputed Fee" and pending with CIT/PCIT filed by
Assessee.
If appeal is pending for all "Disputed Penalty",
"Disputed Interest" & "Disputed Fee", then click on
"Add row" and enter details separately against each
appeal reference number.
Please enter the "Appeal Reference Number" for the
appeal pending with CIT/PCIT and filed by Assessee
with respect to "Disputed Penalty" or "Disputed
Interest" or "Disputed Fee".
Please ensure that the same should match with the
"Appeal Reference Number" entered in Part B for the
same combination.
Please enter Total amount of penalty / interest / fee
as per order against which revision application filed.
Please enter Disputed penalty / interest / fee on
issues raised in appeal
This field shall be auto populated as B and non-
This field shall be auto populated as 0.25*B and
Non-editable.
 Amount payable under DTVSV
Y after 31.03.2020 (0.3*B)
Add Row
Schedule IX. To be filled in
case arbitration or conciliation
or mediation of assessee is
pending as on 31.01.2020
Appeal reference number
Total amount of penalty /
interest / fee as per order
A against which arbitration or
conciliation or mediation has
been filed
Disputed penalty / interest /
fee on issues raised in
B
arbitration or conciliation or
mediation
Tax arrears (B)
C editable.
Amount payable under DTVSV
X on or before 31.03.2020 =
0.25*C
Amount payable under DTVSV
Y after 31.03.2020 = 0.30*C
Add Row
This field shall be auto populated as 0.3*B and Non-
editable.
If appellant is having more than one appeal pending
with same combination for that AY/FY, please click
on add row and enter the details properly.
Please fill the below details incase the appeal is
related to "Disputed Penalty" or "Disputed Interest"
or "Disputed Fee" and pending with
Arbitration/Conciliation/Mediation filed by assessee.
If appeal is pending for all "Disputed Penalty",
"Disputed Interest" & "Disputed Fee", then click on
"Add row" and enter details separately against each
appeal reference number.
Please enter the "Appeal Reference Number" for the
appeal pending with Department or "both".
and filed by assessee with respect to "Disputed
Penalty" or "Disputed Interest" or "Disputed Fee".
Please ensure that the same should match with the
"Appeal Reference Number" entered in Part B for the
same combination.
Please enter Total amount of penalty / interest / fee
as per order against arbitration or conciliation or
mediation has been filed.
Please enter Disputed penalty / interest / fee on
issues raised in appeal
This field shall be auto populated as B and non-
This field shall be auto populated as 0.25*B and
Non-editable.
This field shall be auto populated as 0.30*B and
Non-editable.
If appellant is having more than one appeal pending
with same combination for that AY/FY, please click
on add row and enter the details properly.
 FIELD WISE INSTRUCTIONS FOR FILLING ANNEXURE D

Sl.no. Field Instructions

in
Form
Schedule D : In case the Please fill this table if applicable.
appellant opt not to pay tax on
addition reducing
loss/depreciation or
increasing income under MAT
then the relevant column of the
following schedule is to be
filled up
Unabsorbed loss Column header

Unabsorbed depreciation Column header

MAT Credit Column header

The following fields shall be

provided to the above column
headings
Brought forward as claimed by
A assessee (A)
Carried forward as claimed by
B assessee (B)
Disputed income (C )
C loss", "Unabsorbed depreciation" and "MAT Credit" in
Brought forward as per order
of income-tax authorities (D)
D
Carried forward as per order of
income-tax authorities (E)
E
Please enter brought forward of "Unabsorbed loss",
"Unabsorbed depreciation" and "MAT Credit" in
respective column.
Please enter carried forward of "Unabsorbed loss",
"Unabsorbed depreciation" and "MAT Credit" in
respective column.
Please enter disputed income related to "Unabsorbed
respective column.
Please enter brought forward of "Unabsorbed loss",
"Unabsorbed depreciation" and "MAT Credit" in
respective column as per order of income tax
authorities.
Please enter carried forward of "Unabsorbed loss",
"Unabsorbed depreciation" and "MAT Credit" in
respective column as per order of income-tax
authorities.
 FIELD WISE INSTRUCTIONS FOR FILLING VERIFICATION

Field Instructions
VERIFICATION
I ………………………….. This field will be auto populated and Non-editable.
son/daughter of Shri This field will be auto populated and Non-editable.
...................................................solem
nly declare that to the best of my
knowledge and belief the information
given in this declaration is correct and
complete and is in accordance with the
provisions of the Direct Tax Vivad se
Vishwas Act, 2020.
I further declare that I am making this Below dropdowns to be provided :
declaration in my capacity Self
as…………………….. Karta
Managing Partner
Designated Partner
Partner
Managing Director
Director
Trustee
Executor
Principal officer
Representative Assessee
Authorised Signatory

and that I am competent to make this This field will be auto populated and Non-editable.
declaration and verify it. I am holding
permanent account
number.………………………

Aadhaar number.……….…(if allotted) Please enter the Aadhaar number, if allotted .

Place ................... Please enter the place.
Date System date should be auto populated and non
editable
Name and signature of the declarant Please submit the Form with DSC/ EVC as
applicable.
 INSTRUCTIONS TO FILL FORM 1
FIELD WISE INSTRUCTIONS FOR FILLING FORM 2

Field Instructions
I………………………………. This field will be auto populated and Non-editable.

Son/daughter of Shri……………………….. This field will be auto populated and Non-editable.

having This field will be auto populated and Non-editable.

PAN/TAN………………………………………

/Aadhaar number ------------------ This field shall be auto-populated and non-editable.

having decided to avail the benefit of Static content

the Direct Tax Vivad se Vishwas Act,
2020 do hereby voluntarily waive all
my rights, whether direct or indirect,
to seek or pursue any remedy or any
claim in relation to the tax-arrear
which may otherwise be available to
me under any law for the time being in
force, in equity, by statute or under
any agreement entered into by India
with any other country or territory
outside India whether for protection of
investment or otherwise.

I………………………………. This field will be auto populated and Non-editable.

Son/daughter of Shri……………………….. This field will be auto populated and Non-editable.

designation………………………… Below dropdowns to be provided :

Karta
Managing Partner
Designated Partner
Partner
Managing Director
Director
Trustee
Executor
Principal officer
Representative Assessee
Authorised Signatory
on behalf of ……………………………. This field will be auto populated and Non-editable.
having PAN/TAN This field will be auto populated and Non-editable.

/Aadhaar number This field will be auto populated and Non-editable.

being duly authorised and competent This field will be auto populated and Non-editable.
in this regard, the…………………………….

having decided to avail the benefit of Static content

the Direct Tax Vivad se Vishwas Act,
2020 do hereby voluntarily waive all
its rights, whether direct or indirect, to
seek or pursue any remedy or any
claim in relation to the tax-arrear
which may otherwise be available to
me under any law for the time being in
force, in equity, by statute or under
any agreement entered into by India
with any other country or territory
outside India whether for protection of
investment or otherwise.

The above undertaking is irrevocable. Static content

I also confirm that I am aware of all

the consequences of this undertaking.

Place................... Please enter the place.

Date System date shall be auto populated and non-

editable.

Signature Please submit the Form with DSC/ EVC as

applicable.